Search results for "Stewardship"
Take a bite out of HAP
Brushing teeth reduces hospital-acquired pneumonia (HAP) risk, and changes are needed to make this simple practice happen more regularly in the hospital.
https://acphospitalist.acponline.org/archives/2024/03/06/free/take-a-bite-out-of-hap.htm
6 Mar 2024
Implement 4 E's to reduce low-value inpatient care, article proposes
A new framework, modeled after the hierarchy of effectiveness, proposes four steps to reduce use of low-value care, such as unnecessary telemetry, repeat labs, and urinary catheters, on medical wards.
https://acphospitalist.acponline.org/archives/2024/02/07/implement-4es-to-reduce-low-value-inpatient-care-article-proposes.htm
7 Feb 2024
Hospitals that steward antibiotics well share common factors
Hospitals where pharmacists reported feeling that they are respected by their hospitalist colleagues and considered valuable team members were less likely to overuse antibiotics, a small survey study of antibiotic stewardship programs found.
https://acphospitalist.acponline.org/archives/2023/12/20/hospitals-that-steward-antibiotics-well-share-common-factors.htm
20 Dec 2023
Guidelines on resistant gram-negatives
Hospitalists are some of the best antibiotic stewards, according to the lead author of recent guidance that aims to help them manage tricky infections.
https://acphospitalist.acponline.org/archives/2023/09/06/free/guidelines-on-resistant-gram-negatives.htm
6 Sep 2023
Infectious diseases, hospital organizations update strategies for CAUTI prevention
The recommendations include essential practices for preventing catheter-associated urinary tract infections (CAUTIs), which apply to all acute care hospitals, and additional approaches, which should be considered when essential practices have been implemented but infection rates remain high.
https://acphospitalist.acponline.org/archives/2023/08/30/infectious-diseases-hospital-organizations-update-strategies-for-cauti-prevention.htm
30 Aug 2023
IDSA updates guidance on managing drug-resistant, gram-negative infections
New treatment recommendations from the Infectious Diseases Society of America (IDSA) dealt with resistant strains of Enterobacterales, Pseudomonas aeruginosa, Acinetobacter baumannii, and Stenotrophomonas maltophilia.
https://acphospitalist.acponline.org/archives/2023/07/26/idsa-updates-guidance-on-managing-drug-resistant-gram-negative-infections.htm
26 Jul 2023
Asymptomatic bacteriuria treatment averted due to fewer urine cultures, study finds
Michigan hospitals successfully reduced their use of antibiotics in asymptomatic patients with positive urine cultures, and the difference could be tied to less culturing, since use of antibiotics among asymptomatic patients who got cultures didn't change significantly.
https://acphospitalist.acponline.org/archives/2023/07/12/asymptomatic-bacteriuria-treatment-averted-due-to-fewer-urine-cultures-study-finds.htm
12 Jul 2023
Study finds limited value to procalcitonin in identifying BSI on admission
Among patients with suspected bloodstream infections (BSIs) who had blood cultures and a procalcitonin test on admission, the sensitivity of procalcitonin at a cutoff of 0.5 ng/mL was 68%, and empiric antibiotic therapy use was not meaningfully different with positive or negative results.
https://acphospitalist.acponline.org/archives/2023/07/12/study-finds-limited-value-to-procalcitonin-in-identifying-bsi-on-admission.htm
12 Jul 2023
Procalcitonin do's and don'ts
Although the optimal use of procalcitonin is still up for debate, there are best practices for getting the most bang for this blood test.
https://acphospitalist.acponline.org/archives/2023/07/05/free/procalcitonin-dos-and-donts.htm
5 Jul 2023
Two-step testing for Clostridioides difficile appears safe in multicenter study
Using an enzyme immunoassay after a positive nucleic acid amplification test was associated with a decrease in hospital-onset Clostridioides difficile infections and a reduction in related antibiotic use but no change in emergent colectomies.
https://acphospitalist.acponline.org/archives/2023/06/14/two-step-testing-for-clostridioides-difficile-appears-safe-in-multicenter-study.htm
14 Jun 2023